论文部分内容阅读
目的探讨血液透析在鱼胆中毒并发急性肾功能衰竭患者治疗中的临床效果。方法 28例鱼胆中毒并发急性肾功能衰竭患者,对其给予常规治疗,并在此基础上增加血液透析治疗,观察并且分析其治疗效果。结果治疗后28例患者的血肌酐、尿素氮、二氧化碳结合力、24 h尿量[(277.10±32.61)μmol/L、(13.20±3.43)mmol/L、(25.20±7.15)mmol/L、(1879.70±81.54)ml]均优于治疗前(P<0.01)。鱼胆中毒<3 d内接受首次血液透析治疗的患者肾功能恢复时间、透析次数、住院时间[(18.30±4.00)d、(4.20±1.62)次、(26.20±3.71)d]均优于鱼胆中毒≥3 d后接受首次血液透析治疗的患者(P<0.01)。结论血液透析治疗鱼胆中毒并发急性肾功能衰竭,可以有效地改善患者肾功能指标,促进肾功能的恢复,且患者接受透析的时间越早,治疗效果越好,临床疗效显著。
Objective To investigate the clinical effect of hemodialysis on the treatment of acute renal failure patients complicated with fish gallbladder poisoning. Methods Twenty - eight cases of acute renal failure complicated with acute bile duct poisoning were treated with conventional therapy. On the basis of this, hemodialysis was added and the therapeutic effect was observed and analyzed. Results Serum creatinine, urea nitrogen, carbon dioxide cohesion, urine output of 24 h (277.10 ± 32.61 μmol / L, (13.20 ± 3.43) mmol / L, (25.20 ± 7.15) mmol / L, 1879.70 ± 81.54) ml] were better than before treatment (P <0.01). The time of recovery of renal function, number of dialysis and length of hospital stay [(18.30 ± 4.00) d, (4.20 ± 1.62), (26.20 ± 3.71) d] were better than those who received fish for the first hemodialysis within 3 days Patients who received initial hemodialysis after 3 days of gall bladder poisoning (P <0.01). Conclusion Hemodialysis treatment of fish gallbladder poisoning complicated by acute renal failure can effectively improve renal function indexes and promote the recovery of renal function. The earlier the patients receive dialysis, the better the treatment effect is. The clinical curative effect is remarkable.